高海拔；腹腔镜胆囊切除术_____高海拔；腹腔镜胆囊切除术

高海拔地区开展腹腔镜胆囊切除术的可行性及注意事项

http://www.100md.com 《腹腔镜外科杂志》 2006年第6期

高海拔；腹腔镜胆囊切除术,,高海拔；腹腔镜胆囊切除术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨高原地区基层医院开展腹腔镜胆囊切除术的可行性及应注意的若干问题。方法：回顾总结我院2004年7月~2005年12月腹腔镜胆囊切除术(LC)开展情况,同时对不同海拔高度的患者术后第一天及第三天临床表现进行对照统计。结果：完成LC78例,海拔高度在3000米以下的55人、3000-4500米的23人,其中急性炎症期(急性胆囊炎、慢性胆囊炎急性发作)16例,慢性萎缩性胆囊炎(结石)3例,慢性胆囊炎(结石、息肉)59例。全组无中转开腹,无并发症,无感染,75例行腹腔引流;平均住院时间6.7 天(4~9天),术后平均出院时间4天(2-6天)。结论：高原地区基层医院通过选择合适的病例、腔镜技能的培训、术中仔细配合操作、麻醉监测及妥善处理开展LC是完全可行的。

    【关键词】高海拔；腹腔镜胆囊切除术

    The feasibility and announcement of the Laparoscopic Cholecystectomy in the high elevation region

    PU Dongli,SUN Sherg,XIANG Kai,et al

    (The 22nd hospital of PLA,Ge'ermu 816000,China)

    【Summary】 Objective:Discuss the feasibility and announcement of carrying Laparoscopic Cholecystectomy(LC) at grassroots hospital in the high elevation.Methods:Retrospective summarize the instance of carrying on LC at our hospital at 2004Jul~2005 Dec,Statisical comparisoning clinical performance of patients from the different elevation,at the first and the third day after surgery.Results:78 cases completed,55 cases were under 3000m elevation,23 cases were 3000-4500m.16 cases were acute inflammation(acute cholecystitis or chronic cholecystiti outbreaking),3 cases were chronic atrophic cholecystiti(cholelithiasis),59 cases were chronic cholecystiti(cholelithiasis or polypi).No case turn to open abdomen,no syndrome and infection.75 cases have celiac drainage.Average time be in hospital is 6.7 day(4-9day),leave hospital is 4day,(2-6day).Conclusion:By choose appropriate case,foster LC skill,carefull operate,anaesthetization monitor and appropriate deal with,grassroots hospitalin in the high elevation carry on Laparoscopic Cholecystectomy(LC) is feasible. ......

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